Osteoarthritis

Efficacy and safety of collagen derivatives for osteoarthritis: A trial sequential meta-analysis

Osteoarthritis CartilagePublished Systematic review and meta-analysis of randomised trials

Pooled result · Pain alleviation (main analysis: 25 RCTs, 2856 patients)Result — go to the resultSMD −0.35 95% CI −0.48 to −0.22

Authors' conclusion

Strong evidence supports the efficacy and safety of collagen derivatives for osteoarthritis treatment.

Study context

Population
Patients with OA in randomized controlled trials (RCTs) of collagen derivatives (PubMed, Embase, Cochrane Library searched till June 2023)
Participants
3,165 patients35 RCTs
Comparison
Collagen derivatives vs control
Outcome
Primary outcome (not named in the abstract); main analysis based on 25 RCTs, 2856 patients
Methodological detailstrial sequential analysis, random-effects, frequentist framework, RoB 2, GRADE, Trial sequential analyses indicated sufficient statistical power
  • Trial sequential analysis
  • Random-effects
  • Frequentist framework
  • RoB 2
  • GRADE
  • Trial sequential analyses indicated sufficient statistical power

Pooled result

As reported in the abstract

Pain alleviation (main analysis: 25 RCTs, 2856 patients)

SMD

−0.35

95% CI −0.48 to −0.22

Collagen derivativesvs Control
SMD −0.35 (95% CI −0.48 to −0.22)

Further pooled results

OutcomeSMD (95% CI)
Function improvementHigh certainty−0.31 (−0.41 to −0.22)

Safety

Did not increase the risk of withdrawal or adverse events vs control

Original publication

Efficacy and safety of collagen derivatives for osteoarthritis: A trial sequential meta-analysis. Osteoarthritis Cartilage. Published 11 January 2024. doi:10.1016/j.joca.2023.12.010

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